Nokea
What is the primary benefit of delayed cord clamping in a term newborn?
- A. increased hemoglobin levels
- B. improved thermoregulation
- C. decreased risk of bleeding
- D. increased risk of infection
Correct Answer: B
Rationale: The primary benefit of delayed cord clamping in a term newborn is improved thermoregulation. When the cord is clamped later, it allows more blood to flow from the placenta to the baby, aiding in temperature stabilization. This helps prevent hypothermia, a common issue in newborns. Increased hemoglobin levels (choice A) are not the primary benefit of delayed cord clamping. Decreased risk of bleeding (choice C) is not directly related to delayed cord clamping. Increased risk of infection (choice D) is incorrect as delayed cord clamping does not increase the risk of infection.
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A patient in labor is undergoing an epidural block and develops hypotension. What should the nurse do first?
- A. Increase intravenous fluids
- B. Place the patient in a Trendelenburg position
- C. Administer oxygen via face mask
- D. Notify the physician immediately
Correct Answer: A
Rationale: The correct first action is to increase intravenous fluids (Choice A). This will help improve the patient's blood volume and subsequently increase blood pressure. Trendelenburg position (Choice B) is not recommended due to potential complications. Administering oxygen (Choice C) may be helpful but doesn't directly address the hypotension. Notifying the physician (Choice D) is important but addressing hypotension promptly is the priority. Increasing fluids helps address the underlying cause of hypotension in this scenario.
The nurse’s role in diagnostic testing is to provide which of the following?
- A. Advice to the couple
- B. Information about the tests
- C. Reassurance about fetal safety
- D. Assistance with decision making
Correct Answer: B
Rationale: The nurse's role is to provide all necessary information regarding a procedure to enable the couple to make an informed decision.
A nurse is assisting a laboring person with a vacuum extraction. What is the most important nursing action to ensure a safe procedure?
- A. monitor fetal heart rate continuously
- B. prepare the person for a cesarean section
- C. monitor for signs of uterine rupture
- D. assist with positioning the person
Correct Answer: B
Rationale: The correct answer is B: prepare the person for a cesarean section. In the scenario of vacuum extraction, if there are complications or the procedure is unsuccessful, the person may need to undergo an emergency cesarean section. By preparing the person for this possibility, the nurse ensures timely intervention if needed, prioritizing the safety of both the person and the baby. Monitoring fetal heart rate continuously (A) is important but not the most crucial action in this case. Monitoring for signs of uterine rupture (C) is not directly related to vacuum extraction. Assisting with positioning (D) is important but not as critical as preparing for a potential cesarean section.
A pregnant patient is at 24 weeks gestation and reports feeling faint and lightheaded. What should the nurse recommend?
- A. Lie down immediately and rest until symptoms subside.
- B. Take deep breaths and drink a cold beverage to feel better.
- C. Get up slowly and take small sips of water throughout the day.
- D. Sit upright and monitor the symptoms for several hours.
Correct Answer: C
Rationale: The correct answer is C because getting up slowly and taking small sips of water throughout the day helps maintain blood pressure and hydration, which can improve symptoms of feeling faint and lightheaded during pregnancy. Lying down immediately (choice A) may not address the underlying issue of potential low blood pressure. Taking deep breaths and drinking a cold beverage (choice B) may not address the need for increased fluid intake and gradual position changes. Sitting upright and monitoring symptoms (choice D) may not actively address the immediate need for hydration and blood pressure management.
A woman states that she frequently awakens with 'painful leg cramps' during the night. Which of the following assessments should the nurse make?
- A. Dietary evaluation.
- B. Goodell’s sign.
- C. Hegar’s sign.
- D. Posture evaluation.
Correct Answer: A
Rationale: Leg cramps during pregnancy are often related to dietary deficiencies, particularly calcium and magnesium. A dietary evaluation is the most appropriate assessment.